Individual
TODD C BRUECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 W 32ND ST, JOPLIN, MO 64804-2514
(417) 781-5600
(417) 623-5177
Mailing address
525 W 32ND ST, JOPLIN, MO 64804-2514
(417) 781-5600
(417) 623-5177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018017945
MO
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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